Zhou Qiao briefly explained the surgical plan and route, as well as some precautions, to the chief surgeon, and guided the operation to begin.

Time waits for no one.

This is a very rare opportunity, but unfortunately, everyone is too busy, otherwise, many medical staff will come to observe and learn.

Even Dean Joachim Langley sighed softly, such a good opportunity was wasted.

However, for the doctor who was operating in the operating room wearing a lead suit, this kind of one-to-one guidance has not been encountered since he joined the work.

In school, teachers can teach patiently, but when entering the workplace, other experts really do not have this obligation.

Occasionally teach, it's not that you want to learn something, people will teach you something.

In other words, if you want to ask something, they will answer you or something.

Zhou Qiao cooperated and communicated with the community hospital, and the community hospital also gave a reward of more than 10,000 US dollars.

In the United States, being a doctor is merely a profession.

"Dr. Zhou, femoral artery puncture doesn't seem to work." In the operating room, the doctor was in trouble and asked for help.

More than ten meters away, in another room, Zhou Qiao looked at the big screen in front of him, and said with a slight groan: "Change the right axillary artery approach." ”

The words are short, there is no nonsense.

If he came on his own, he could continue to try the femoral artery, but he was pressed for time, so he didn't bother with it.

Sure enough, after the doctor inside changed the approach, he immediately succeeded. Then, follow Zhou Qiao's guidance and do it step by step.

The catheter used by the other party is a RUC catheter.

This catheter has advantages over Cobra catheters due to its fixed loop fulcrum and specific shape, especially when the patient's blood vessels are severely tortuous, and it is slightly more difficult to form a loop.

At first, the doctor was going to use the Cobra catheter, but after being instructed by Zhou Qiao, he changed it.

In fact, there are special interventional robots on the market for interventional surgery, but they are relatively expensive, and Sequoia Tree Hospital has not yet begun to make a profit, and the budget is limited, so Luo Ya did not purchase it.

If a surgical robot is equipped with an ultra-long-range wireless control module, let alone more than ten meters, even in San Francisco, Zhou Qiao can perform the operation remotely in person.

As for now, it is possible to use only the existing conditions.

In fact, the conditions of this operating room are already quite good and can meet the needs of most surgeries.

Under Zhou Qiao's guidance, the doctor carefully performed abdominal aorta and pelvic arteriography to accurately bleed the arteries.

Then, gelatin sponge embolizer is used to reduce the perfusion pressure of blood flow in the bleeding area by embolizing the main trunk of the bleeding artery and its branches (that is, "blocking"), and at the same time, it can also avoid embolizing the peripheral blood vessels and causing local tissue ischemia and necrosis, which is conducive to wound healing.

Gelatin sponge is a medium-potency embolic agent, which can usually be absorbed by the body in about two weeks, which is conducive to embolic arterial recanalization, restores the normal anatomy of pelvic blood vessels, and avoids long-term complications after embolization.

Of course, it is easy to say, but it is quite difficult to do, and the level of intervention of doctors is very high.

This doctor may have limited qualifications, and sometimes, Zhou Qiao said it several times, but the other party couldn't understand it, which made Zhou Qiao so anxious.

Unlike Murphy and Stephanie, it is really a little thorough, you can teach it, you can be fine in a while, and you can draw inferences from one another, bring forth the new, and teach them, Zhou Qiao is very relaxed.

However, as soon as Zhou Qiao changed his mind, Murphy and Stephanie were both one in a million people, and they belonged to rare medical seeds, so why should he use the standard of genius to ask others?

Thinking like this, Zhou Qiao calmed down and slowly and patiently pointed.

When doing it, not only was the doctor cautious, but Zhou Qiao was sometimes frightened, and if the situation was wrong, he had to rush in to save the scene as soon as possible.

In the end, the operation was finally completed without any danger. The patient's bleeding naturally stopped, which was immediate.

The doctor came out, full of energy, feeling that he had benefited a lot, and hurriedly thanked Zhou Qiao. In addition, he felt that his performance should be quite good, so he looked at the famous Dr. Zhou with some expectation, hoping to be praised by Mr. Zhou.

However, Zhou Qiao just encouraged him without being salty, and the doctor couldn't help but be disappointed.

The nurses on the side covered their mouths and snickered.

As everyone knows, Zhou Qiao is used to seeing genius apprentices like Murphy and Stephanie, and said in his heart that it's just like you, fortunately, I have strong psychological adjustment ability, otherwise I would have to be angry.

In fact, this doctor is also quite good, doctors in the United States are basically doctorates, and it is impossible for people who are too stupid to get this degree, but compared to Murphy and Stephanie, it is not worth mentioning.

Murphy's 19-year-old M.D., and Stephanie's 24-year-old M.D. and Master of Theology are all from prestigious schools, which are indeed not comparable to ordinary people.

If they have a better family background and concentrate on research, it is a high probability that they will become doctoral supervisors before the age of 30 and academicians before the age of 40. But people live in the world, they don't necessarily have to be famous, or go down in history, they now feel very happy every day, and live a fulfilling life, which is enough.

What's more, now Murphy and Stephanie are well-known young experts in San Francisco, in California, and even in the entire United States, second only to Zhou Qiao. This achievement is also okay.

In fact, for Stephanie, her interest in theology was no less than that of medicine. In her spare time, she often takes her mother to church to relax and relax.

Sometimes, they would communicate with local pastors or priests, and Stephanie would have displayed theological attainments and knowledge that amazed the clergy.

When the clergy learned that Stephanie was a doctor, they felt that if Stephanie threw herself into the arms of the Lord, her future was limitless.

With the development of the times and the rise of women's rights, many Protestants do not mind women occupying high positions.

And Murphy, although she does a good job at the Iris Clinic, her favorite thing is to quietly hold a book and enjoy her world.

These two girls are not very ambitious, but they are a little casual.

After instructing the operation, Zhou Qiao and Luo Ya went back to the wine estate.

I have to say that instructing others to perform surgery is much more tiring than doing it yourself. In the past, Zhou Qiao usually didn't drink water when he had surgery, but this time he guided others to operate, and drank several cups of coffee.

Speak thirsty.

After Zhou Qiao and Luo Ya went back, they slept until the moonlight was hazy before getting up. It's a complete reversal of day and night.

At night, it goes without saying that the phoenix is upside down. The two didn't know that they were pregnant with identical quadruplets, but they still worked hard to sow seeds and worked diligently.

The two even discussed the baby's name together, what the boy was called, and what the girl was called in bed, and thought of many alternatives. Of course, because it is Zhou Qiao's species, there is a "Zhou" attached to the surname, anyway, several surnames can be added to the English name.

Chinese surnames, going back up, are all nobles.

For example, the surname Zhou, the history can be traced back to the ancient Yellow Emperor era, and the ancestor is Houji. Houji's mother is Jiang Xin, and his father is Emperor Yu. In the early years of the Western Zhou Dynasty, the ancestors of the Zhou surname enshrined Houji as the ancestor of the Zhou people, and the descendant of Houji, Sun Gugong's father (that is, the prince of Zhou) was forced by Di to lead the clansmen to migrate from Tai to Qishan in Shaanxi Province to the lower Zhou Yuan, and since then it has been called the Zhou people. By the time of King Wen Jichang, the country was the clan.

So now Chinese generally don't talk about blood, who hasn't had a broad ancestor?

"Zhou" is also written in English as "Chou", "Chow", "Chau", "Choo", etc., but that is the translation of Hokkien or Cantonese, and Zhou Qiao is not from those two places, so he prefers to use Mandarin pinyin.

The next day, Luo Ya took Zhou Qiao to take wedding photos. Although Luo Ya does not plan to marry Zhou Qiao, it is still acceptable to take pictures.

Her family business is so big, although it is all premarital property, but when she gets married, there are no variables. She had to think about her son. For a strong woman like her, marriage is a pure burden.

She doesn't need to be with a man day and night, it's enough to have a career. As for the children, it is used to inherit the family business. It is a very important part of the business.

Otherwise, what if you hit the sky? A hundred years later, it's all gone to someone else. So, the heir is important.

From this point of view, Luo Ya is actually very traditional.

Like Academician Dominory, when he was young, he didn't think like this, he felt that it didn't matter if he had children or not, and when he got old, he regretted it, and he couldn't have children again. can only fight the idea of a young and handsome man like Zhou Qiao.

Houston is a big city, just over a hundred kilometers away from Loya's wine estate, about an hour's drive away.

Many well-known attractions such as Rice University, Space Center, Miller Amphitheater, Herman Park, Ancient Battlefield of San Gicinto...... They have all been left behind.

Especially the ancient battlefield, Luo Ya likes it very much.

This battlefield, in the eastern suburbs of Houston, at the entrance to the Port of Houston Channel outside Highway 8.

In April 1836, General Santa Anna of Mexico pursued Sam Houston's rebels, only to be attacked by Sam Houston. In just ten minutes, Santa Anna's army surrendered.

Although the battle was not large, it won the independence of Texas. That's right, Texas was formerly part of Mexico and was part of a Spanish colony until 1821.

Not long after the independence of the Republic of Texas, in 1845, the United States promised that it would recognize the Rio Grande as its border if the Republic of Texas was willing to join the United States.

So in this year, the Republic of Texas joined the United States as the 28th state of the United States.

Now Mexico wants to join the United States, but it has no chance.

Next to the ancient battlefield of San Gicinto, there is also the USS Texas, the only surviving warship that fought in World War I and II.

Zhou Qiao and Luo Ya boarded the warship and took many wedding photos on the warship.

In fact, with Luo Ya's financial resources and status, she can go anywhere in the world to take wedding photos. It's just that there isn't that much time.

But after two days of playing, Sequoia Tree Hospital called again for help.

There was a case that was urgent, Zhou Qiao was directly in the car, connected with his mobile phone, and gave video guidance.

It is a 5G connection, and the clarity and timeliness are okay, smooth and delay-free.

Of course, if you compare 5G with wired, wired is naturally faster and more stable, but with 5G, it is some specific occasions. For example, Zhou Qiao is now in the car and can only use his mobile phone.

Compared with wired, wireless transmission has a wider range of application scenarios.

Another example is the hospital on the supply ship of a certain aircraft carrier battle group, which is driving on rough seas, and urgently needs the guidance of experts on the mainland, and there is no wired connection.

Or in the future, if the space station does surgery and the moon base does surgery, it needs the guidance of experts on Earth, and it will also have to be transmitted wirelessly.

The lunar base may be somewhat distant, but now the space station, if an injury requires surgery, in the current conditions, can only be guided by experts on the ground.

The current level of aerospace is still relatively backward, up and down is a relatively "rough" way, the physical fitness of astronauts is extremely high, and the people who go up may have medical training, but not necessarily a high level, or are not proficient in a certain field.

This requires wireless transmission and remote guidance.

This emergency patient, who had suffered a severe neck injury before, underwent two surgeries at Sequoia Hospital, but his condition was not under control and his condition was very dangerous.

While driving and taking Zhou Qiao to the hospital, Luo Ya secretly glanced at it, only to see the patient in the video, his head was as big as a bucket, his neck was wrapped in heavy gauze, his face was swollen and bruised, and his facial features were deformed, and then the doctor was explaining the condition.

After Zhou Qiao understood the situation, he asked them to start the third emergency operation immediately.

Still in the DSA hybrid operating room, Zhou Qiao asked them to prepare with both hands.

One group of vascular interventional surgery group and one group of open neck surgery group.

Emergency Department, Interventional Department, Intensive Care Medicine, General Surgery, Anesthesiology...... Medical staff were dispatched.

First, the condition is urgent and requires more manpower; Second, with Dr. Zhou's remote guidance, it is also an opportunity to learn.

During the operation, the doctors found that the patient's neck wound was bleeding from erosion, deep eruption bleeding, and the important blood vessels could not be identified at all, and conventional hemostasis methods could not be used.

For a moment, the atmosphere in the operating room was tense and solemn.

"Doctor Zhou, what should I do?" The surgeon asked for help.

Zhou Qiao shouted: "Don't panic, follow my instructions step by step, and first perform balloon compression to stop bleeding......"

While racing the car, Luo Ya watched the man in the passenger seat talk eloquently, strategizing, and couldn't help revealing endless love in the corner of her eyes, and said that Qiao is amazing, and she likes his little appearance that is not shocked.

Under the guidance of Zhou Qiao, the surgeon found the patient's ruptured large blood vessels, sutured them to stop the bleeding, and then removed the necrotic and infected tissues for debridement.

"Be careful, don't hurt the other nerves and blood vessels in your neck." Zhou Qiao stared at the operation screen and kept prompting.

Because the human neck is a "traffic artery", many nerves and blood vessels are connected to the body from the brain, but if there is a mistake, it will lead to serious sequelae.

With the success of this "remote" guided operation, many medical staff in the operating room couldn't help but breathe a sigh of relief.

The patient was saved.

At the end of the operation, Zhou Qiao and the others were not far from the hospital. Dean Joachim Langley said that there are several complicated situations that need the guidance of Dr. Zhou, no, Mr. Zhou, and Professor Zhou.

(End of chapter)